Abstract
In order to support the processes of planning and assessment of achievements of national and regional health systems it is essential to introduce, in business management, indicators and tools able to measure, evaluate and enhance the organisational and individual performance. The logicalconceptual model presented in this paper, far from being a panacea able to solve all the problems related to the management of the performance cycle, is proposed to be an attempt to bring clarity to the internal context of the ongoing reform, focusing on the salient features of management tools that are known and already widely used in contexts of ‘for profit’ and ‘not for profit’. However, if, on the one hand, there are tools and methodologies well known by others, not always do managers have the opportunity to use them well. It is, therefore, necessary to pay attention to salient features of their organisational model to be sure that there is a progressive adaptation of the tools and logic in question.